Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05279105
Other study ID # Cambridge
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date March 17, 2022
Est. completion date September 30, 2023

Study information

Verified date May 2022
Source University of Cambridge
Contact LUNDI-ANNE OMAM N BIBAA
Phone 0047849529803
Email laon2@cam.ac.uk
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The overall objective of this research is to understand the PHC landscape in conflict-affected settings including choice of PHC delivery models and quality interventions used by humanitarian organisations


Description:

There is sparse evidence to guide the selection and design of primary health care (PHC) services that improves and maintains quality care in humanitarian settings. The Northwest and Southwest regions of Cameroon, and Northeast Nigeria have protracted humanitarian crises. Various models of PHC are used in these settings; ensuring quality of PHC models of care is essential to improve health outcomes. We aim to explore how PHC models are selected by humanitarian organizations and through stakeholder engagement design a toolkit for evaluation of quality in PHC care delivery across different models. The specific objectives of the study are; 1. To map different primary health care delivery models used by public, private and humanitarian organization in the conflict affected settings of NWSW Cameroon and North East Nigeria by conducting a mapping survey 2. To explore the factors influencing the selection of primary health care delivery models used by humanitarian organizations to guide the selection of models of care and strengthening of programming efforts in conflict settings by conducting an exploratory qualitative study 3. To determine the coverage and gaps in services across the different PHC models to develop a pilot questionnaire to evaluate quality in conflict settings by conducting an exploratory qualitative study The humanitarian crisis in North West and South West regions of Cameroon and North East Nigeria, has led to the closure of 269/933 and 617/2367 health facilities respectively with over 2.21 million IDPs and 350,000 returnees(2, 3), creating a huge gap in the availability and accessibility of health services to affected communities. The need to conduct this study becomes even more pertinent to inform program developers and donors on key considerations to make before using different models of care, and how quality can be improved to foster sustainability


Recruitment information / eligibility

Status Recruiting
Enrollment 200
Est. completion date September 30, 2023
Est. primary completion date March 30, 2023
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 21 Years and older
Eligibility Inclusion Criteria: - Male and female staff of humanitarian organisations, internally displaced persons (confirmed to be a resident of an IDP or host community); - Age 21 years of age or older; - Ability to provide informed consent or assent to participate in the research Exclusion Criteria: - Individuals who are mentally ill or with limitations to communicate well; - Those who cannot speak or understand the local languages so that they cannot understand the interviewer. - Those who refuse to provide consent to the study or who do not want to participate in the study

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Program support
The intervention to be evaluated in this study is program design and selection considerations by humanitarian organisations. It will comprise of factors that motivate organisations to chose certain delivery models in providing health care in conflict-affected settings

Locations

Country Name City State
Cameroon Reach Out Cameroon Buea South West Region
Nigeria Herwa Cdi Maiduguri
United Kingdom Lundi-Anne Omam Ngo Bibaa Cambridge

Sponsors (6)

Lead Sponsor Collaborator
University of Cambridge Elrha, Herwa Community Development Initiative (HERWACDI), Reach Out Cameroon, University of Buea, University of Maiduguri

Countries where clinical trial is conducted

Cameroon,  Nigeria,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of frameworks developed Framework to guide humanitarian organizations in the selection of primary health care models will be collaboratively developed following the results from the study and stakeholders meeting 12 months
Secondary Number of quality oversight toolkit developed Following the development of a framework to inform the selection of models of care, an "oversight toolkit" for selecting models of care and monitoring a pragmatic set of quality interventions (QI) will be developed. The toolkit will include a composite score drawing from scores across all domains. This will be used to give an overall assessment score of quality. 12 months
See also
  Status Clinical Trial Phase
Completed NCT03224858 - Ambulatory ICU Study for Medically and Socially Complex Patients N/A
Completed NCT03663075 - Effect of Group Education and Individual Counselling on Mental Health and Quality of Life in 45-60 Year Old Women N/A
Recruiting NCT04151056 - Impact of the Social Determinants of Health in the Central Catalan Region
Recruiting NCT05715151 - Continuous Quality Improvement Cohorts on Advanced Access N/A
Completed NCT01242319 - Translating ATP III Cholesterol Management Guidelines Into Primary Care Practice N/A
Recruiting NCT06155292 - Report Cards and Feedback for PCCE N/A
Completed NCT02955433 - The Impact of Rideshare Transportation Services on Appointment Adherence N/A
Completed NCT02266069 - PROject - Supportive and Palliative Care and INnOvation - Antwerp (Pro-Spinoza) N/A
Recruiting NCT04702711 - Experiences of Anger in Patients in Primary Health Care With Symptoms of Generalized Anxiety
Completed NCT04521816 - PIM 2.0: Patient Aligned Care Team (PACT) Intensive Management (PIM) Project N/A
Recruiting NCT05709860 - An Electronic Health Record-based Approach to Increase PrEP Knowledge and Uptake: the EMC2 PrEP Strategy N/A
Completed NCT05121688 - Effectiveness of a Physical Therapy Telerehabilitation Program in Long Post COVID-19 Symptoms in Primary Health Care. N/A
Completed NCT05329246 - Validation of PMcardio AI-assisted Clinical Assistant in Primary Care N/A
Completed NCT02953925 - National-wide Survey on Primary Health Care in China N/A
Completed NCT03100526 - Patient Aligned Care Team (PACT) Intensive Management (PIM) Project N/A
Active, not recruiting NCT04585191 - Reducing Treatment Risk in Older Adults With Diabetes N/A
Recruiting NCT05609981 - Optimising Medication With Focus on Deprescribing in Frail Older People With Multidose Drug Dispensing Systems N/A
Completed NCT04688359 - Effectiveness of Nurse-coordinated Follow-up Program in Primary Care for People at Risk for T2DM N/A
Completed NCT04237883 - Primary Care Clinical Excellence Incentive Study N/A
Withdrawn NCT04010136 - Identification of Elderly Patients in Need of Palliative Care by Family Physicians N/A